Individual provider Active NPI

Tracy Lynn Moody Cessna, DPT

  • Orthopedic Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1619107943
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT.013193 Issued in OH
Practice address
6350 Glenway Ave
Suite 415
Cincinnati, OH 45211-6378
Phone
(513) 347-9999
Fax
(513) 347-3999
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT.013193 OH Primary
Geriatric Physical Therapist 2251G0304X PT019555 PA
Orthopedic Physical Therapist 2251X0800X PT005460 KY

Addresses

Primary practice location

6350 Glenway Ave
Suite 415
Cincinnati, OH 45211-6378

Mailing address

6350 Glenway Ave
Suite 415
Cincinnati, OH 45211-6378
Phone (513) 347-9999

Other names 1

  • Tracy Lynn Moody Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019555PAMDGeriatric Physical Therapist
PT005460KYMDOrthopedic Physical Therapist
PT.013193OHMDOrthopedic Physical Therapist

Interoperability endpoints

  • Direct secure messaging: tmoodycessna91151@direct.bsmhealth.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1619107943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 GLENWAY AVE",
            "address_2": "SUITE 415",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116378",
            "telephone_number": "513-347-9999",
            "fax_number": "513-347-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 GLENWAY AVE",
            "address_2": "SUITE 415",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116378",
            "telephone_number": "513-347-9999",
            "fax_number": "513-347-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY CESSNA",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT.013193",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT019555",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KY",
            "license": "PT005460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "MOODY",
            "middle_name": "LYNN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.